North Oconee Family Dentistry Pc | |
1040 Garland Dr Ste 200 Bogart GA 30622-3201 | |
(678) 661-0709 | |
Not Available |
Full Name | North Oconee Family Dentistry Pc |
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Speciality | Clinic/center - Dental |
Location | 1040 Garland Dr Ste 200, Bogart, Georgia |
Authorized Official Name and Position | Bum Mo Chung (OWNER) |
Authorized Official Contact | 6786610709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Oconee Family Dentistry Pc 1040 Garland Dr Ste 200 Bogart GA 30622-3201 Ph: (678) 661-0709 | North Oconee Family Dentistry Pc 1040 Garland Dr Ste 200 Bogart GA 30622-3201 Ph: (678) 661-0709 |
NPI Number | 1861960932 |
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Provider Enumeration Date | 11/07/2018 |
Last Update Date | 11/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861960932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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